Glenn David Goodbinder, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

049736 Issued in NY

Practice address

225 Broadway
Mezzanine Level
New York, NY 10007-3001

Phone

(212) 732-7400

Fax

(718) 942-1425

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1871677666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "MEZZANINE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "212-732-7400",
            "fax_number": "718-942-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "MEZZANINE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "212-732-7400",
            "fax_number": "718-942-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODBINDER",
        "first_name": "GLENN",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Alexis Good, FNP-BC
• Robin L. Good, PH.D.
• Hayley Jane Goodall
• Athena Goodarzi, DDS
• Paria Goodarzi, DDS
• Goodbye Pain LLC
• Anita Goode, RN
• Kaitlinn Mary Goode, ACNP
• Victoria Goode
• Stefanie Gooden-Pulido, DPT

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.